Medical-Surgical RN A Prophecy Test, Relias Learning Answered 2022, Exams of Nursing

Download Medical-Surgical RN A Prophecy Test, Relias Learning Answered 2022 and more Exams Nursing in PDF only on Docsity! Medical-Surgical RN A Prophecy Test / Relias Learning Answered 2022 1. 1.2 milligrams is equal to how many micrograms?: 1200 mcg 2. Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain function?: Compress the drain, then plug the bulb to establish suction 3. Your male patient complains of discomfort while inflating the balloon during insertion of an indwelling urinary catheter. What would be the MOST appropriate action?: Deflate the balloon, advance the catheter further, then rein- flate the balloon 4. Your patient has symptomatic anemia but is refusing a blood transfusion for religious reason. What is an appropriate response?: Respect his wishes and notify the provider 5. Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for the patient?: High Fiber 6. You were hired to work the medical unit and when you arrive at work the charge nurse has assigned you to the post-surgical unit since they are un- derstaffed. Which is the MOST appropriate action?: Report to the post-surgical unit. 7. What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?: Coat the lining of the stomach 8. Which adaptive equipment would be MOST appropriate to use for a severe- ly contracted patient who is unable to bear weight when transferring from the bed to the chair?: Patient lift (e.g., Hoyer) 9. Which tool should you use to assess pain in you 80-year-old patient with severe dementia?: PAINAD scale 10. Your patient is admitted from the ED with failure to thrive and advanced dementia.You note he is extremely underweight, appears unbathed for some time, and has a stage 4 pressure injury to his coccyx.You were told in report that he lives at home with family members. What should you do?: Notify the charge nurse and social worker of your concerns. 11. Your 85-year-old patient with atrial fibrillation fell at home 3 days ago. You notice she has been having several episodes of acute confusion since being admitted to your unit. What is the MOST important order you should anticipate from the provider?: Stat CT of head 12. Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine from the indwelling urinary catheter in the last 2 hours. What is your patient MOST likely experiencing.: Sepsis 13. What type of personal protective equipment (PPE) is applied prior to entering a room for a patient with C. diff?: Gown and gloves 14. Your patient continues to pull at their IV site located in their left forearm despite verbal reminders and increased observation. The nursing assistant recommends using soft mitt restraints on the patient. What is your recom- mendation?: Request an order for soft mitts as they are the least restrictive 15. Your patient was admitted for a hypertensive crisis and has a history of HTN, Parkinson's disease, depression, and alcohol use. On his second hos- pitalized day, you notice he is more anxious and restless than his baseline. What would be your FIRST nursing intervention?: Ask the patient when his last drink of alcohol was. 31. Upon entry to your patient's room, you find her sitting in High Fowler's position and complaining of shortness of breath. Her respiratory rate is 34 breaths/min and O2 sat is 84%. Which mode of oxygen delivery would MOST likely reverse these symptoms?: Non-rebreather mask 32. Your patient is on contact precautions for active MRSA. What proper PPE should you use before entering the room?: Gown and gloves 33. Your patient recently had a G-tube placed and intermittent enteral feed- ings have been initiated. What symptoms may indicate intolerance to the feedings?: Vomiting and diarrhea 34. Upon entering your patient's room, you note that they are having a seizure.What is your FIRST action?: Position the patient on their side to maintain the airway. 35. Your 18-year-old female patient was admitted with dehydration sec- ondary to anorexia nervosa. During your assessment you note she has a flat affect and says, "I just want to die. I'm tired of my life." What should be your FIRST intervention?: Stay with the patient and ask fi she has a plan to carry out this wish. 36. Your patient has a non-productive cough and presence of secretions in his tracheostomy. Prior to suctioning the patient, what should you do FIRST?: Hyperoxygenate patient. 37. Your patient takes 5 mg of warfarn (Coumadin/Jantoven) daily and re- ports having black colored stool today. What do you most likely suspect?: - Gastrointestinal bleeding 38. Your new patient was admitted with blunt force trauma to the abdomen following a motor vehicle accident (MVA). A NG tube is in place for decom- pression; however, you note during the assessment that the stomach is rigid and hard during palpation. What condition do you suspect?: Hemorrhage 39. Which of the following nursing diagnoses is MOST important for a patient with chronic obstructive pulmonary disease (COPD)?: Impaired gas exchange 40. You have a patient going for dialysis. Their medications include lisinopril (Prinivil), ondansetron (Zofran), famotidine (Pepcid), and atorvastatin (Lip- itor). Which medication would you possibly hold and seek clarification?: - Lisinopril (Prinivil) 41. What is an early symptom that the patient is developing a complication of heart failure?: Edema in the legs and feet 42. Black and tarry colored stools are CLASSIC symptoms of what condi- tion?: Bleeding gastric ulcer 43. You have 4 patients who have high priority needs. One needs to go to surgery, one needs STAT lab draws from a PICC line, another has chest pain rated 8/10, and another needs toileting. Which patient should you tend to FIRST?: The patient with chest pain 44. Your patient with Hepatitis C exhibits signs of jaundice and a distended abdomen. What procedure would you anticipate being performed by the provider at the bedside for this patient?: Paracentesis 45. What is clubbing of the fingers MOST likely associated with?: Chronic oxygen deficiency 58. Your 80-year-old patient is being discharged home post CVA. She lives alone, yet still requires assistance with ADLs. What referral is MOST appro- priate to ensure her needs are met?: Case Manager 59. Central Telemetry calls and tells you your patient is experiencing brady- cardia. What is the first thing you should do after entering the room?: Assess the patient and take vital signs. 60. Your patient is currently under 1:1 observation for suicide precautions. He states he needs to have a bowel movement and would like some privacy to use the bathroom. What is the MOST appropriate response?: "I must be within an arms' length view of you at all times for your safety, including while using the bathroom." 61. A female patient requests a female nurse to provide care for her based on her religious beliefs. What is the MOST appropriate action to take?: Ac- commodate her request if possible. 62. Your patient is a 40-year-old female with a recent history of hair loss, extremely dry skin, a nd a 20-point weight loss in the last 3 weeks. She also exhibits occasional episodes of tremors in her upper extremities. What condition do these symptoms MOST likely indicate?: Hyperthyroidism 63. Insulin lispro (Humalog) is orders via sliding scale a.c. for your patient with diabetes. When is the best time to administer insulin lispro (Humalog)?- : 15 min before the meal arrives 64. Which of the following would be used as part of the preop procedure to prevent infection?: Prophylactic antibiotics 65. Two days after surgery, your 72-year-old patient is showing signs of agitation and confusion, which is not his baseline. The severity fluctuates throughout the day. His medications include hydromorphone (Dilaudid), am- lodipine (Norvasc), alprazolam (Xanax), and carbidopa-levodopa (Sinemet). What condition do you MOST likely suspect?: Delirium 66. What is the proper technique when suctioning a tracheostomy?: Suction in a circular motion while the catheter is being pulled out. 67. Your new patient admitted for cholecystitis expresses she has a history of anxiety disorder. She is feeling panicked and does not think she can handle staying in the hospital for her surgery. What action is MOST appropriate for you to take?: Sit calmly next to her and offer her compassion and a sense of security. 68. The provider orders and IV infusion of D5W 1000 mL to infuse over the next 6 hours. How many mLs per hour should the IV pump be set to?: 167 mL/hr 69. You are assigned a new admission and note a Braden score of 11 after completing your assessment. Which interventions would be MOST appro- priate based on your assessment?: Turn q 2hours, request nutrition consult, request low airloss mattress. 70. Your patient may have tuberculosis TB) and is placed in airborne precau- tions. What test would you expect to be ordered?: Acid-fast bacilli sputum 71. Your patient starts to complain of difficulty breathing while laying down, and states that he has been coughing up pink sputum. While performing your assessment, you notice jugular vein distention and coarse crackles in both lungs on auscultation. What diagnosis do you suspect?: Congestive heart failure 72. You received a patient post op transurethral resection of the prostate (TURP). Which of the following symptoms would cause you the MOST con- cern?: Hemorrhage and hypotension 73. Your patient with C. diff (Clostridioides difficile) has a family member about to leave the room. What education about performing hand hygiene should you give?: Hand hygiene with soap and water 74. Your patient has a diagnosis of urinary tract infection (UTI) and is current- ly taking medication that has recently made her urine reddish-orange. Which of the following medications would cause this side effect?: Phenazopyridine (Pyridium) 87. Your patient has developed a productive cough and fever. The provider is suspecting influenza. Which actions should you take FIRST?: Initiate droplet precautions 88. What medication would you anticipate to be ordered for a patient who has a LDL > 200 mg/dL?: Statin 89. Fifteen minutes after starting a blood transfusion, the patient complains of lower back pain, shortness of breath, and chills. What is your FIRST action?: Stop the tranfusion. 90. Your patient had a transurethral resection of the prostate (TURP) 24 hours ago. What signs require further intervention?: Bright red urine 91. What condition (not medication related) might cause an elevation in the patients PT/INR level?: Liver disease 92. Your patient admitted for small bowel obstruction has been vomiting for the last 3 days. What electrolyte imbalance would you expect to be associated with this patient?: Hypokalemia 93. Digoxin (Lanoxin) 125 mcg is equivalent to how many mg?: 0.125mg 94. As you are walking down the hallway you overhear your colleague dis- cussing her personal family issues with a patient. What would be the MOST appropriate response?: Remind her later of her responsibility for establishing and maintaining professional boundaries with patients. 95. Your patient, who has soft wrist restraints for safety (non-violent), is working with the occupational therapist at the bedside.The nursing assistant enters and says, "The patient is not allowed to have his restraints untied." How do you respond?: "Restraints can be temporarily off while directly working with staff. Let me know when the therapy session is finished and I will re-apply them." 96. Your patient suddenly develops signs and symptoms of shortness of breath, restlessness, tachypnea, hemoptysis, and decreased oxygen satu- rations despite being on 2L/min of O2 by nasal cannula. What do you expect is happening?: Pulmonary embolism 97. The dosage of which drug must be tapered down slowly to prevent acute adrenal insufficiency?: Prednisone 98. Your patient with CHF states, "I can still eat the same food, I just have to weight myself everyday." Based on this statement, which nursing diagnosis would be appropriate?: Knowledge Deficit